# ROUSES DISCOUNT PHCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114079464
- **Authorized official:** TOMMY ROUSE (MANGER PARTNER)
- **Authorized official phone:** (985) 447-5998

## Contact information

- **Practice address:** 1175 AUDUBON AVE, THIBODAUX, LA 70301-4940
- **Practice address phone:** (985) 446-3011
- **Practice address fax:** (985) 446-3011
- **Mailing address:** PO BOX 5358, THIBODAUX, LA 70302-5358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 3270 | LA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 09/11/2025